Role of LecA and LecB lectins in Pseudomonas aeruginosa-induced lung injury and effect of carbohydrate ligands.

Abstract

Pseudomonas aeruginosa is a frequently encountered pathogen that is involved in acute and chronic lung infections. Lectin-mediated bacterium-cell recognition and adhesion are critical steps in initiating P. aeruginosa pathogenesis. This study was designed to evaluate the contributions of LecA and LecB to the pathogenesis of P. aeruginosa-mediated acute lung injury. Using an in vitro model with A549 cells and an experimental in vivo murine model of acute lung injury, we compared the parental strain to lecA and lecB mutants. The effects of both LecA- and Lec B-specific lectin-inhibiting carbohydrates (alpha-methyl-galactoside and alpha-methyl-fucoside, respectively) were evaluated. In vitro, the parental strain was associated with increased cytotoxicity and adhesion on A549 cells compared to the lecA and lecB mutants. In vivo, the P. aeruginosa-induced increase in alveolar barrier permeability was reduced with both mutants. The bacterial burden and dissemination were decreased for both mutants compared with the parental strain. Coadministration of specific lectin inhibitors markedly reduced lung injury and mortality. Our results demonstrate that there is a relationship between lectins and the pathogenicity of P. aeruginosa. Inhibition of the lectins by specific carbohydrates may provide new therapeutic perspectives.

(A) Cytotoxicity of P. aeruginosa strains with lung epithelial cells. A549 cells (2 × 104 cells) were cocultured with each strain at a multiplicity of infection of 250. (B and C) Effects of carbohydrates on the cytotoxicity of P. aeruginosa (PA) (B) and its lectins (C). A549 cells (2 × 104 cells) were cocultured with P. aeruginosa PAO1 (parental strain) at a multiplicity of infection of 250 or with each lectin in the presence of Glc, GalNAc, Me-α-Fuc, or Me-α-Gal. The carbohydrates were added at a concentration of 15 mM. The cytotoxicity with lung epithelial cells was evaluated by measuring the release of LDH at 4 and 6 h. The values are the averages of three assays for the means (bars) and standard deviations (error bars). *, P < 0.05 for a comparison with PAO1; **, P < 0.01 for a comparison with PAO1; ***, P < 0.001 for a comparison with PAO1; +, P < 0.05 for a comparison with the corresponding lectin.

Survival study. An inoculum containing 5 × 107 CFU was instilled into the lungs, and then survival was monitored for 7 days for 20 mice per group. (A) Survival of mice after instillation of PAO1::lecA compared with the survival after instillation of PAO1 (parental strain) or PAO1::lecA/pMMBlecA (complemented lecA mutant). (B) Survival of mice after instillation of PAO1::lecB (lecB mutant) compared with the survival after instillation of PAO1 (parental strain) or PAO1::lecB/pMMBlecB (complemented lecB mutant).

Effect of carbohydrates on mortality in mice. Mice were inoculated intratracheally with a suspension containing 5 × 107 CFU of P. aeruginosa PAO1 (parental strain) in the presence and absence of Glc, GalNAc, Me-α-Gal, or Me-α-Fuc, and then survival was monitored for 7 days. The carbohydrates were used at a concentration of 15 mM (20 mice per group). *, P < 0.05 for a comparison with the PAO1 group; **, P < 0.001 for a comparison with the PAO1 group. PA, P. aeruginosa.

Alveolar capillary barrier permeability after intratracheal instillation of P. aeruginosa PAO1 (parental strain), PAO1::lecA (lecA mutant), PAO1::lecB (lecB mutant), and P. aeruginosa lectins (LecA and LecB). (A and C) Efflux of the protein tracer 125I-albumin from the lungs into the blood 6 h after infection. (B) Efflux of the protein tracer 125I-albumin from the blood into the lungs 16 h after intraperitoneal injection. The data are means (bars) and standards errors (error bars) for 10 mice per group. °, P < 0.05 for a comparison with the control; °°, P < 0.01 for a comparison with the control; °°°, P < 0.001 for a comparison with the control; *, P < 0.05 for a comparison with PAO1; **, P < 0.01 for a comparison with PAO1; ***, P < 0.001 for a comparison with PAO1; +, P < 0.05 for a comparison with the lecB mutant or lecA mutant; +++, P < 0.001 for a comparison with the lecB mutant or lecA mutant. CTR, control (no bacteria or no lectin).

Effect of carbohydrates on lung injury. Lung injury was evaluated by examining alveolar capillary barrier permeability after intratracheal instillation of P. aeruginosa PAO1 (parental strain) and its lectins alone or in combination with Glc, GalNAc, Me-α-Gal, or Me-α-Fuc in mice. (A and C) Efflux of the protein tracer 125I-albumin from the lungs into the blood 6 h after infection. (B) Efflux of the protein tracer 125I-albumin from the blood into the lungs 16 h after intraperitoneal injection. The data are means (bars) and standards errors (error bars). The carbohydrates were used at concentrations of 15 and 50 mM, and there were 10 mice per group. *, P < 0.05 for a comparison with PAO1; **, P < 0.01 for a comparison with PAO1; ***, P < 0.001 for a comparison with PAO1. CTR, control (no bacteria or no lectin); PA, P. aeruginosa.